Chapter 105: Lower Back Pain Due to Drinking Water

"Teacher Yun, this is the patient who had lower back pain just now."

Yun Heng naturally remembered this patient very clearly. Firstly, he had just been treated that morning. Secondly, this patient was also one of the more seriously ill patients treated that morning. He was pushed here in a wheelchair by his family.

The patient is a 45-year-old male. He worked as a loader in the past few years and had suffered a lot. It was only in the past two years that he was promoted from a loader to a foreman with seven or eight workers under him. After making money, he bought a second-hand house in the West Asia community.

Even after becoming a foreman, the man still did all the work himself. He was a middle-aged man who could endure hardships.

The patient began to feel abdominal distension, severe lower back pain, chills and loss of appetite about ten days ago.

At that time, I went to the emergency department of the Third Hospital of the city for treatment. After examination and X-ray, no serious condition was found. However, it was diagnosed as a sprained lower back pain and was referred to the Department of Traditional Chinese Medicine. I received acupuncture, massage, and medication for three days, but there was no effect.

Afterwards, he was transferred to the Municipal Hospital of Traditional Chinese Medicine. The experts there believed that it was caused by dampness, so he was hospitalized for treatment at the Municipal Hospital of Traditional Chinese Medicine and took Ganjiang Lingshu Decoction.

However, the patient showed no improvement after taking the medicine, and his inflation worsened. I heard that Yun Heng at the community hospital is very good, so I came to the community hospital again today.

"Teacher Yun, judging from the patient's symptoms, both the tongue coating and the pulse show obvious signs of dampness. Why do you think it is not caused by dampness?" Ren Xuedong was very puzzled.

In his opinion, this disease was indeed relatively complicated. He and Xu Bo had discussed it for a long time, but they still didn't quite understand it.

"It's very simple. The patient previously took Ganjiang Lingshu Decoction, but it didn't work and the bloating worsened. This means the previous medication was wrong. I've already told you the answer. Why should you still worry about it?"

Yun Heng looked at Ren Xuedong strangely.

This disease is actually quite complicated for Yun Heng. If he had not been seen by a doctor before, Yun Heng might have made a wrong diagnosis.

Doctors actually don’t like to treat patients who have been treated by others, because if someone else has treated the patient but failed to cure him, it often means that the patient’s condition is complicated. Moreover, the previous treatment by one person and another can easily make the originally not complicated condition more complicated.

There is a saying in traditional Chinese medicine that it is better to treat a serious illness than a serious disease.

This bad disease is the disease that was treated badly by the previous doctor. The disease may have changed and become a variant disease, which is more serious and complicated.

But if someone has treated the patient before and the doctor treats him later, it actually has its benefits. When the symptoms have not changed much, it also eliminates some wrong inferences.

Ren Xuedong was stunned.

Oh my god, is it that simple?

Yun Heng continued, "Ganjiang Lingshu Decoction is an anti-dampness agent. Since the previous Ganjiang Lingshu Decoction was ineffective, it can be concluded that the patient's condition is not just dampness. If it's not just dampness, then what could it be?"

"Water to drink?" Ren Xuedong asked.

He was analyzing the medical record that Yun Heng had just written, and the answers were all there.

"Yes, then it could be due to water retention."

Yun Heng nodded: "Think about it, dampness is a yin evil, and water and dampness are intertwined... If dehumidifying agents are ineffective, then we should use methods to remove dampness and promote diuresis..."

"Yun Heng, if there hadn't been the previous doctor's treatment, how would we have diagnosed this disease?" Xu Bo asked.

Yun Heng was stunned and looked at Xu Bo.

If it weren't for the previous doctor's treatment, he would be the same doctor as before.

This dried ginger and Poria cocos soup was prescribed by an associate chief physician from the Municipal Hospital of Traditional Chinese Medicine. The deputy chief physician got it wrong the first time. Yun Heng didn't think that his current level three level meant he was better than the deputy chief physician.

But Yun Heng naturally wouldn't say that now.

"So when facing symptoms, you must think more, look more, and verify repeatedly."

Since he already knew the result, it was not difficult for Yun Heng to deduce the answer. This was not a problem for him.

"In the Golden Chamber Essentials: Water-Damp Diseases, it says, 'Those with kidney water have an enlarged abdomen, swollen navel, and lower back pain.' If you're not entirely sure, then look for more clues to verify it."

"So, Teacher Yun, you are always very careful when you treat patients and check repeatedly because you are afraid of making mistakes?" Ren Xuedong asked hurriedly.

"Um."

Yun Heng nodded: "It's always better to be cautious. I think this is something we should keep in mind no matter what the situation is."

When saying this, Yun Heng thought of Ma Tiequan. Ma Tiequan's level was not low, but it was precisely because of his carelessness and sloppiness that he almost made a mistake last time.

"Okay, I've made a note of that. I need to be careful at all times and verify things repeatedly. I can't be careless and try to find clues from the details."

Ren Xuedong carefully wrote down Yun Heng's words in his notebook.

While studying with Yun Heng, Ren Xuedong always took notes. He wrote down the things he didn't understand and some of Yun Heng's words that he thought made sense, and read them over and over again after returning home.

......

Municipal Traditional Chinese Medicine Hospital.

After Lin Yonggang finished his meal, he went to the ward he was in charge of as usual to check on the patients.

In the hospital, a tiered system is implemented. First-line doctors, that is, residents, must make rounds at least twice a day. Second-level doctors, that is, attending doctors, must make rounds once a day. When they reach the rank of associate senior doctor or above, they are third-level doctors and only need to make rounds once or twice a week. Some department heads rarely make rounds once every two weeks when they are busy.

Lin Yonggang is an intern and a senior intern at that. He has developed a habit and has his own fixed ward rounds time. He goes to the ward first thing every morning and afternoon when he goes to work.

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